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NEET-PG 2014 — Surgery

Q: Accidental choking of respiratory passage by bolus of food:

Cafe coronary. ***Cafe coronary*** - This term refers to **sudden collapse and death** that occurs during a meal, often mistaken for a heart attack, but is actually caused by **choking on a large piece of food** that obstructs the airway. - The obstruction leads to **asphyxiation** due to the bolus of food blocking the respiratory passage. *Aspiration* - **Aspiration** is the inhalation of food, liquid, or stomach contents into the lungs, which can lead to **pneumonia** or other respiratory complications. - While choking involves food entering the respiratory passage, aspiration more specifically refers to the **entry of foreign material into the lower respiratory tract**, not necessarily a complete obstruction causing immediate collapse. *Gagging* - **Gagging** is a reflex action triggered by touching the back of the throat, designed to prevent foreign objects from entering the throat. - It is a **protective mechanism** against choking rather than the choking event itself, and doesn't describe the accidental bolus obstruction. *Laryngospasm* - **Laryngospasm** is an involuntary spasm of the vocal cords that temporarily closes the airway, often triggered by irritation or an anesthetic. - While it results in airway obstruction, it is a **muscular contraction** of the larynx, not the physical blockage by a food bolus. [Practice more Surgery PYQs on OnCourse]

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Accidental choking of respiratory passage by bolus of food: